Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 8595 | KY |
N | 122300000X | Dentist | DEN-8796 | CO |
Y | 1223E0200X | Endodontist | 25756 | TX |
NPI | 1063465748 |
---|---|
Provider Name | Dr. Kirk Daniels Brown |
First Address | Copper Canyon, TX 75077-4800 |
Second Address | Highland Village, TX 75077-3270 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 07/11/2015 |